Introduction: The Case for Procedures in Primary Care

  • Cathryn B. Heath
  • Sandra M. Sulik


Dr. Jerri Neilsen had a problem. She needed to do a procedure that she had never performed on anyone. There were no specialists available to do it. The nearest specialist was a continent away. What did she do? According to her first-hand account in Ice Bound: A Doctor’s Incredible Battle for Survival at the South Pole, she received instructions by computer and by satellite telephone on how to do a Fine Needle Aspiration (FNA). She and her assistant, who was an Emergency Medical Technician (EMT), practiced the aspiration technique on some fruit, and then both she and her assistant did an FNA – on Dr. Jerri Neilsen [1].


Family Physician Male Physician Woman Physician Emergency Medical Technician Rural Physician 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Nielsen J, Vollers MA. Ice bound: a doctor’s incredible battle for survival at the south pole. New York: Hyperion, 2001.Google Scholar
  2. 2.
    Jolly P, Hudley DM (eds). AAMC data book: statistical information related to medical education. Washington, DC: Association of American Medical Colleges, 1998.Google Scholar
  3. 3.
    Hutten-Czapski P, Pitblado R, Slade S. Short report: scope of family practice in rural and urban settings. Can Fam Physician 2004;50:1548–1550.PubMedGoogle Scholar
  4. 4.
    Chaytors RG, Szafran O, Crutcher RA. Rural-urban and gender differences in procedures performed by family practice residency graduates. Fam Med 2001;33:766–771.PubMedGoogle Scholar
  5. 5.
    Eliason BC, Lofton SA, Mark DH. Influence of demographics and profitability on physician selection of family practice procedures. J Fam Pract 1995;40(3):223–224.Google Scholar
  6. 6.
    Edwards JK, Norris TE. Colonoscopy in rural communities: can family physicians perform the procedure with safe and efficaceous results? J Am Board Fam Pract 2004;17:353–358.PubMedCrossRefGoogle Scholar
  7. 7.
    Baker R, Mainous AG, Gray DP, Love MM. Exploration of the relationship between continuity, trust in regular doctors and patient satisfaction with consultations with family doctors. Scand J Prim Health Care 2003;21(1):27–32.PubMedCrossRefGoogle Scholar
  8. 8.
    Rubin SE, Godfrey E, Gold M. Patient attitudes toward early abortion services in the family medicine clinic. J Am Board Fam Med 2008;21(2):162–164.PubMedCrossRefGoogle Scholar
  9. 9.
    Koenig JD, Tapias MP, Hoff T. Are US health professionals likely to prescribe mifepristone or methotrexate? J Am Med Womens Assoc 2000;55:155–160.PubMedGoogle Scholar
  10. 10.
    Norris TE, Cullison SW, Fihn SD. Teaching procedural skills. J Gen Intern Med 1997;12(S2):S64–S70.PubMedCrossRefGoogle Scholar
  11. 11.
    Haggerty JL, Pineault R, Beaulieu MD, Brunelle Y, Gauthier J, Goulet F, Rodriguez J. Practice features associated with patient-reported accessibility, continuity, and coordination of primary health care. Ann Fam Med 2008;6:116–123.PubMedCrossRefGoogle Scholar
  12. 12.
    Crutcher RA, Szafran O, Woloschuk W, Chaytors RG, Topps DA, Humphries PW, Norton PG. Where Canadian family physicians learn procedural skills. Fam Med 2005;37(7):491–495.PubMedGoogle Scholar
  13. 13.
    Edwards FD, Frey KA. The future of residency education: implementing a competency-based educational model. Fam Med 2007;39(2):116–125.PubMedGoogle Scholar
  14. 14.
    Cheng D. Family planning training in Maryland family practice and obstetrics/gynecology residency programs. J Am Med Womens Assoc 1999;54:208–210.PubMedGoogle Scholar
  15. 15.
    Sempowski IP, Rungi AA, Seguin R. A cross sectional survey of urban Canadian family physicians’ provision of minor office procedures. BMC Fam Pract 2006;7:18.PubMedCrossRefGoogle Scholar
  16. 16.
    Sonfield A, Gold R, Frost JJ, Darroch JE. U.S. insurance coverage of contraceptive and the impact of contraceptive coverage mandates. Perspect Sex Reprod Health 2004;36(2):72–79.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Department of Family Medicine, Robert Wood Johnson Medical SchoolUniversity of Medicine and Dentistry of New JerseyNew BrunswickUSA

Personalised recommendations